近年来,亚低温作为神经保护性治疗的一种手段在治疗急性脑梗死中得以应用。本文观察分析了我科2001年5月～2003年3月15例住院脑梗死患者在早期降纤治疗的同时应用头部降温(亚低温)治疗的近期疗效,现报告如下。 1 资料与方法 1.1 一般资料 随机分为头部降温治疗组(下称治疗组)及对照组。治疗组15例,男10例,女5例,年龄41～75岁,平均年龄(64.48±6.04)岁。对照组15例,男8例,女7例,年龄44～77岁,平均年龄(66.27±5.57)岁。两组病例均为我科2001年5月～2003年3月的住院患者,符合1986年全国脑血管病会议修订的脑梗死诊断标准,病程均在48小时以内,全部患者均经头颅CT排除颅内出血,并排除年龄大于80岁、有出血倾向、血小板数<100×10~9/L或纤维蛋白 In recent years, mild hypothermia has been used as a neuroprotective approach in the treatment of acute cerebral infarction. This article observed and analyzed our department from May 2001 to March 2003 15 cases of hospitalized patients with cerebral infarction in the treatment of early fibrinolytic head cooling (mild hypothermia) treatment of short-term efficacy are as follows. 1 Materials and Methods 1.1 General Information Randomly divided into head cooling treatment group (hereinafter referred to as the treatment group) and control group. The treatment group of 15 cases, 10 males and 5 females, aged 41 to 75 years, mean age (64.48 ± 6.04) years. The control group of 15 patients, 8 males and 7 females, aged 44 to 77 years, mean age (66.27 ± 5.57) years. The two groups were all inpatients from May 2001 to March 2003 in our department, meeting the diagnostic criteria for cerebral infarction revised by the National Conference on Cerebrovascular Disease in 1986. The duration of disease was within 48 hours. All the patients were excluded by skull CT Bleeding, and rule out the age of more than 80 years old, bleeding tendency, platelet count <100 × 10 ~ 9 / L or fibrin